NPI | 1891859500 |
---|---|
Former Legal Business Name | THIBODAUX INJURY & REHABILITATION |
Entity Type | Organization |
Authorized Contact | BEAU I. PORCHE Owner 985-873-8586 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1380) |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: LA 1380) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2016-04-12 |